Table 8.

Revised Bounce Back Intervention (BB2)

The consultation (core) component of BounceBack ▪ Biographical focus (on the story of disruption) through a narrative (Unstructured) initial assessment (no tools/questionnaires) ▪ Help client explore and understand imbalance of resources and demands (both patient and practitioner) contributing to experienced distress ▪ Support client to identify opportunities for change and support them to do

The organisational components supporting delivery ▪ Sense making: use targeted resources to ensure all parties understand the service ▪ Engagement: Allow direct access (self-referral) and flexible referral patterns to enable patients and staff to engage with the service ▪ Action: Have trained and supported case workers in the practice to deliver the model of care ▪ Monitoring: Feedback the process and impact of care to practice (e.g. case reports and monthly staff meetings)

Based on our revised description of the BounceBack intervention, we also produced a service delivery manual for practices – available from the authors